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Cervicovaginal fistula secondary to embedded fetal bones: a case report
Grace W Y Cheung1, Tak Chung Fan, Tak Yuen Fung
1Department of Obstetrics and Gynaecology, Chinese University of Hong Kong, Shatin, New Territories, Hong Kong. gcheung@cuhk.edu.hk
Background:
Embedded fetal bone after surgical termination of midtrimester pregnancy is a recognized complication. Most cases occur in the uterine cavity; however, this case demonstrates that a cervicovaginal fistula can be caused by embedment of bone in the cervical canal.
Case:
A 19-year-old girl presented with persistent smelly vaginal discharge 4 years after surgical pregnancy termination. On examination she had a cervicovaginal fistula with embedded fetal bone that was subsequently removed surgically.
Conclusion:
Cervicovaginal fistula can be a complication of surgical termination of midtrimester pregnancy as fetal bones can become embedded in the cervical canal during removal.